Robotic assisted lobectomy and lymphadenectomy different approaches
|
|
- Amy Stephens
- 5 years ago
- Views:
Transcription
1 Review Article Page 1 of 7 Robotic assisted lobectomy and lymphadenectomy different approaches Monica Casiraghi 1, Domenico Galetta 1, Lorenzo Spaggiari 1,2 1 Division of Thoracic Surgery, European Institute of Oncology, 2 Department of Oncology and Hemato-oncology, University of Milan, Milan, Italy Contributions: (I) Conception and design: M Casiraghi; (II) Administrative support: None; (III) Provision of study materials or patients: M Casiraghi; (IV) Collection and assembly of data: M Casiraghi, D Galetta; (V) Data analysis and interpretation: M Casiraghi; (VI) Manuscript writing: All authors; (VII) Final approval of manuscript: All authors. Correspondence to: Dr. Monica Casiraghi. Division of Thoracic Surgery, European Institute of Oncology, Via G. Ripamonti 435, Milan, Italy. monica.casiraghi@ieo.it. Abstract: Robot-assisted thoracic surgery (RATS) is a relatively new technique for minimally invasive lung lobectomy. During the last decade, different robotic approaches have been described on performing a lung resection ranging from the use of three or four robotic arms, utility incision or CO 2 insufflation, and different port placement. So far, a not-completely portal lobectomy (with utility incision) or completely portal robotic lobectomy (CPRL) is the mostly used robotic approaches to perform lung resection. RATS for lung lobectomy resulted feasible and safe with low rate of conversion, and associated with reduced mortality, shorter hospital stay, and fewer overall complications compare to open surgery. Besides, the 3D vision and the wide range of high-precision movements of the robotic system, even greater than the human wrist, are crucial in performing lymphadenectomy, allowing an excellent hilar and mediastinal lymph node dissection. Thus, RATS allowed an adequate lymphadenectomy with detection of occult lymph node metastatic disease, with significant overall pathological lymph node upstaging and equal oncologic outcomes compare to open radical lymphadenectomy. However, robotic surgery has still some limitations, including increased costs, absence of a tactile feedback, and the need for specialized equipment and training; beside, longer follow-up is still needed to have a correct vision of the long-term outcome. Keywords: Robotic-assisted surgery; lobectomy; non-small cell lung cancer (NSCLC) Received: 20 December 2017; Accepted: 13 March 2018; Published: 30 March doi: /shc View this article at: Introduction Lobectomy associated to a radical lymphadenectomy is considered the gold standard therapy for patients with early stage non-small cell lung cancer (NSCLC) (1). With the ever-expanding screening programs as well as the greater attention of patients to their health, the number of lung cancer in the early stage is gradually increased, and associated to the development of new surgical techniques has progressively led pulmonary surgery to become less and less invasive. Despite minimally invasive approach in thoracic surgery has already proven advantages in terms of reduced postoperative pain, shorter immune response, quicker resumption of daily activities, and better aesthetic and functional result (2-7), video-assisted thoracic surgery (VATS) lobectomy is slowly becoming the standard approach to early-stage lung cancer treatment; this was probably related to technical limitations, such as twodimensional vision, lack of instrument flexibility with difficult hand-eye coordination and long-lasting learning curve, in particular performing radical mediastinal lymphadenectomy, which is the standard of care in the treatment of lung cancer (8-13) and highly related to the long-term outcome. To address the limitations of conventional VATS, a telesurgical system was developed offering surgeons the benefits of three-dimensional high-
2 Page 2 of 7 Shanghai Chest, 2018 definition imaging, greater hand movements using wristed instruments, and a computer-assisted scaling down of motion with reduction of hand-related tremors (da Vinci system, Intuitive Surgical, Sunnyvale, CA, USA), offering surgeons an innovative approach to lung cancer resection and staging, with a more precise dissection and theoretically better oncological results. Robot-assisted thoracic surgery (RATS) is a relatively new technique for minimally invasive lung lobectomy, introduced in the operating room for pulmonary resection only in The first preliminary reports on pulmonary resection performed by RATS were published by Melfi et al. in 2002 and Giulianotti et al. in 2003, showing the clinical feasibility of the technique with encouraging results (14,15). The feasibility and safety of the robotic technique were corroborated then by other early publications including those by Park et al. (16) on 34 lung cancer lobectomies published in 2006 and by Giulianotti et al. (17) on 38 lung resections published in Afterwards, Melfi et al. (18) was the first to describe a series of 107 robotic lobectomies with lymphadenectomy performed in good risk oncologic patients, with good results in terms of complications, number of conversions and duration of surgery. Since then, robotic resection is gaining popularity and acceptance among different minimally invasive techniques in the thoracic community. Indeed, according to the Nationwide Inpatient Sample (NIS) database (19) published by Paul et al. in 2014, the number of centers performing RATS lobectomy and the rate of RATS compare to all lobectomies per center increased dramatically in the last 10 years. The percentage of robotic lobectomies performed per year in US went from 1% in 2008 to 48.8% in 2011, compare to a stable proportion of VATS lobectomy which has been maintained around 20 30% over the years. Robotic technology So far, the Da Vinci Surgical System is the only robotic system approved and available on market for RATS. Da Vinci Surgical System is composed by a surgeon console, patient-side cart, EndoWrist instruments, and vision system. The surgeon operates seated comfortably at a console, some distance from the patient, who is positioned on an operating table in close proximity to the robotic unit. The surgeon controls the da Vinci System using his or her hands, via master instruments at the console, and the system seamlessly translates the surgeon s hand, wrist and finger movements into precise, real-time movements of surgical instruments inserted into the patient s body via small incisions. The EndoWrist instruments attached to the arms of the patient-side cart bend and rotate with wide range of high-precision movements (seven degrees of motion), which is even greater than the human wrist, and with the hand tremor filter. The robotic arms move around fixed pivot points to minimize stress on the thoracic wall during manipulations. The stereo-endoscope positioned in one of the robot arms allowed the surgeon to have a magnified, high-definition and three-dimensional view of the operating field via a console binoculars. The console also has foot pedals that allow the surgeon to engage and disengage different instrument arms, to reposition the console master controls without moving the instrument inside the patient, and to activate electric cautery. With the introduction in 2014 of the last generation system (da Vinci Xi), some technical issues have been improved. First of all, a simpler docking due to a better maneuverability of the cart, improved by port placement menu and laser guidance in addition to the improved design of the arms, allows placement of the ports relatively close together reducing the risk of arm collision. Another important improvement is the possibility to use the EndoWrist Vessel Sealer as well as the EndoWrist Stapler (both 30 and 45 mm) entirely controlled by surgeon s hands through the da Vinci Xi System, providing fully wristed articulation and SmartClamp feedback. Lastly, the thoracoscope has a lighter and digital end-mounted camera with autofocus for an improved crystal clear vision, and it could be placed on any robotic arms. Robotic lobectomy approaches During the last decade, different robotic approaches have been described on performing a lung resection ranging from the use of three or four robotic arms, utility incision or CO 2 insufflation, and different port placement. To describe these approaches without being confusing, we decided to group them based on the use of utility incision (not completely portal lobectomy) or not [completely portal robotic lobectomy (CPRL)], highlighting the evolution and the changes of the robotic technique based on the surgeon s experience over the years, as well as their short and long term results. Not CPRL (with utility incision) In 2006, Park (16) was the first to describe a 3-arm robotic approach with a non-rib-spreading utility incision,
3 Shanghai Chest, 2018 Page 3 of 7 Figure 1 Port placement and patient position for the 3-arm not completely portal robotic approach. Figure 2 Port placement and patient position for the 4-arm not completely portal robotic approach. The red circle indicates the 3-cm utility incision. usually of 3 4 cm in the 4th or 5th intercostal space on the mid axillary line, and the use of two other trocars for the camera port (7th or 8th intercostal space at the posterior axillary line) and for the second instrument (just above the diaphragm posterior to the tip of the scapula), respectively (Figure 1). This robotic approach mimed their VATS lobectomy technique in term of patient and trocars position, other than anterior to posterior hilar vessels and bronchi dissection with the completion of the fissure performed last, just before the removal of the specimen; CO 2 insufflation was not needed, the robot was positioned at the head of the patient (45 angle with respect to the long axis of the patient) and 30 camera was used. The results of Park preliminary study demonstrated that RATS was feasible and safe with 12% of conversion rate, higher than those reported in the contemporary largest series of VATS lobectomy but acceptable considering the early experience, with 4.5 days post-operatively length of stay, and no inhospital or 30-day mortalities; besides, all patients had a R0 resection, with a median of four lymph node stations resected (16). In 2010, Veronesi et al. (20) modified the 3-arm robotic approach described by Park introducing the use of a 4th robotic arm, positioned posteriorly in 7th intercostal space (auscultator triangle), to held the lung parenchyma in a fixed position, posteriorly, and have a better vision of the surgical field; 3 cm utility incision was performed at the 4th or 5th intercostal space, anteriorly, the camera port was positioned in 7th or 8th intercostal space on the mid-axillary line, and another port at the 7th or 8th intercostal space in the posterior axillary line (Figure 2). This 4-arm robotic lobectomy approach, always using 3-cm utility incision, was investigated by Veronesi on 54 patients between 2006 and 2008, and compare to the same number of patients having open lobectomy, using a propensity scores match showing a 13% of conversion rate, 4.5 days of post-operatively length of stay for RATS vs. 6 days for open surgery, and no difference in term of post-operative morbidity and mortality, and lymph nodes removed (20). Since then, we always used the same 4-arm noncompletely portal robotic approach performing 339 robotic anatomical lung resection (307 lobectomies, 29 segmentectomies and 3 pneumonectomies) with 6.5% of conversion rate, 5 days of postoperatively length of stay, no in-hospital or 30-day mortalities, and a median of five lymph node stations removed (21). The portal placement did not change with the type of resection or the side, except for left-sided operations where the camera port was placed more laterally to keep the heart out of the way, and with the different robotic system (S, SI and XI). However, with the introduction of the new da Vinci XI robotic system in 2015, some technical changes were made: (I) the surgical cart was docked from the left side of the patient either for right or left thoracic procedures taking advantage of the technical innovation of this new robotic system to displace the four arms correctly despite its side position; (II) the new system allowed us to work with a minimum distance of 4 cm between the ports, without respecting a particular distance between the ports; (III) the camera could be moved between two different ports
4 Page 4 of 7 Shanghai Chest, 2018 the lymphadenectomy or the lung at the end of the surgery; (II) To introduce small gauzes and suction instrument in case of bleeding; (III) To palpate the nodule in case of wedge resection performed before lobectomy. CPRL Figure 3 Port placement and patient position for CPRL-3. CPRL, completely portal robotic lobectomy. allowing a better view; (IV) the use of the EndoWrist stapler (30 vascular and 30 or 45 parenchyma) which could be placed through a 12-mm port (for inferior lobectomy and segmentectomy it was placed alternatively at the utility thoracotomy or posterior axillary line; for the upper lobectomy, it was placed at the posterior axillary line), as previously reported (22). In this group of not completely portal lobectomy we included also the hybrid technique described by Gharagozloo et al. in 2008 (23). This approach involved the use of the Robot for the hilar and mediastinal dissection (vessels, bronchi and lymph nodes) and the use of VATS technique (when the robot is removed, and the surgeon is back to the operating table) for the vascular, parenchymal, and bronchial division; usually three 2-cm incisions were performed using a non-trocar technique, other than an additional 1 to 2-cm incision anteriorly for the endoscopic retractor and the chest tube at the end of the surgery (23). The author published 100 consecutive cases in 2009 showing no conversion rate, a median hospitalization of 4 days, 21% of post-operative morbidity with 3 post-operative death (3%) during the first 20 cases, (not due to the robotic technique but to a poor lung function of the patients), and concluded that robot assistance may facilitated nodal and vascular dissection during VATS lobectomy, even if increasing the complexity and the length of the procedure (24). Why utility incision? (I) To extract the specimens such as lymph nodes during Ninan and Dylewski in 2010 (25) reported the effectiveness of a completely portal robotic lobectomy using 3 arms (CPRL-3) without the need of utility incision. Robotic camera port for a 0 camera was placed in the 5th or 6th intercostal space along the major pulmonary fissure and two other ports were then placed in the same intercostal space anteriorly and posteriorly, to reduce intercostal neurovascular injuries. An utility 7-mm port was inserted anteriorly at the tip of the 11th rib on the anterior abdominal wall, and tunneled over the top of the 10th rib to place a 5-mm camera for the initial exploration of the thoracic cavity and for guiding the port placement; during surgery the utility access was used for suctioning and passages of staplers, and at the end of the surgery for removing the specimen, enlarging it to 3 4 cm (Figure 3). CO 2 insufflation was used to move the diaphragm inferiorly facilitating the use of the utility access. In 2011, Dylewsky described 200 consecutive patients underwent anatomical lung resection using this completely portal robotic approach showing the safeness and feasibility of this technique: only 3 (1.5%) conversion to thoracotomy, a median length of hospital stay of 3 days, a 60-day mortality and morbidity of 2% and 26%, respectively; though, the number of lymph node or the lymph node station removed was not reported (26). In 2011, Cerfolio et al. (27) described a new CPRL with 4 robotic arms technique (CPRL-4). In this new approach, all the four ports were placed along the 7th intercostal space between mid-axillary line, or as anteriorly as possible, and 2 3 cm lateral to the spinous process of the vertebral bodies always keeping 9 10 cm of distance between the ports; an access port was then place 2 3 ribs lower to give more working space to the assistant surgeon (Figure 4). Even in this CPRL-4, CO 2 insufflation and 0 camera were used. Cerfolio demonstrated that the new CPRL-4 was safe and allowed R0 resection with complete lymph node removal (median of 5 N2, 3 N1 nodal stations, 17 lymph nodes removed). CPRL-4 was associated with lower post-operative morbidity and mortality, shorter hospital length of stay, and a better quality of life than rib-sparing thoracotomy, with a
5 Shanghai Chest, 2018 Page 5 of 7 Figure 4 Port placement and patient position for CPRL-4. C, the camera port; the circled number 1, 2, 3 are the robotic arms; A, access port (the camera, the access port, and the site for robotic arm 1 always form an isosceles triangle to have a greatest working area for the assistant). CPRL, completely portal robotic lobectomy; MAL, midaxillary line. conversion rate of 12% (13/106) (27). Why CO 2 insufflation? (I) To move the diaphragm inferiorly, creating more working space for the assistant through utility port; (II) To facilitate the hilar dissection unsticking the tissue with the CO 2 pressure; (III) To squeeze the lung in case of incomplete pulmonary exclusion. Oncologic outcome One of the major criticisms of minimally invasive surgery is the inadequate mediastinal lymph node dissection compared to open surgery. Concern over inferior oncologic outcomes has contributed to the slow adoption of minimally invasive surgery techniques. However, the literature has already demonstrated that robotic pulmonary resection is oncological safe, allowing excellent lymph node removal (28-31). In particular, the 3D vision and the wide range of high-precision movements, even greater than the human wrist, are crucial in performing lymphadenectomy, allowing an excellent hilar and mediastinal lymph node dissection. Although different studies have demonstrated that RATS is associated with reduced mortality, shorter hospital stay, and fewer overall complications compare to open surgery, only few studies have evaluated oncological outcomes (28-31). In literature, the median number of lymph nodes harvested by RATS range between 13.9 to 18 (28-32), compare to a median of 16 harvested by VATS (32) and 14.7 resected in open surgery (33). Park et al. in 2012 (28) published a robotic multicenter experience showing an overall pathologic lymph node upstaging of 24% (18% N1 upstaging and 6% N2 upstaging), with similar results compare to the larger open series ( %) and better than conventional VATS ( %) (33-35). More recently, Toosi et al. (29) confirmed that RATS allowed an adequate lymphadenectomy with detection of occult lymph node metastatic disease, with significant upstaging (14.8%) and equal oncologic outcomes compare to open radical lymphadenectomy. In a multicenter study published in 2017, Cerfolio et al. (31) showed a median number of lymph nodes resected of 13 (5 N2 stations and 1 N1), with a cumulative incidence of local recurrence in the ipsilateral operated chest of 3% only. Even in our experience, the overall median number of lymph node stations removed was five, with a median number of 15 lymph nodes harvested and an overall pathological lymph node upstaging of 17.6% (21). This highlights the excellent lymphadenectomy performed by robotic surgery which is comparable to open surgery and even better than VATS. Cerfolio et al. (31) showed excellent 5-year stage-specific survival [83% for stage IA NSCLC, 77% for the stage IB, 68% for stage IIA, 70% for IIB, 62% for stage IIIA (N2 disease, 73%), and 31% for stage IIIB] similar to the data previously published in literature (28,29). Besides, Toosi et al. highlighted as patients pathologically staged with robotic surgery had a better stage-specific survival at the earlier stages compared with clinical stage suggesting that staging was significantly improved with robotic lymphadenectomy (29). Conclusions Besides the well-known short-term outcomes showing very low morbidity and mortality rates, it is becoming more clear as the adequate assesses of lymph node stations performed by RATS could lead to excellent and promising oncologic results. However, robotic surgery has still some limitations, including increased costs, absence of a tactile feedback, and the need for specialized equipment and training; beside, longer follow-up is still needed to have a correct vision of the long-term outcome. Acknowledgements None.
6 Page 6 of 7 Shanghai Chest, 2018 Footnote Conflicts of Interest: The authors have no conflicts of interest to declare. References 1. Detterbeck FC, Lewis SZ, Diekemper R, et al. Executive summary: diagnosis and management of lung cancer, 3rd ed: American College of Chest Physicians evidence-based clinical practice guidelines. Chest 2013;143:7-37S. 2. Demmy TL, Curtis JJ. Minimally invasive lobectomy directed toward frail and high-risk patients a case-control study. Ann Thorac Surg 1999;68: Hoksch B, Ablassmaier B, Walter M, et al. Complication rate after thoracoscopic and conventional lobectomy. Zentralbl Chir 2003;128: Nakata M, Saeki H, Yokoyama N, et al. Pulmonary function after lobectomy video-assisted thoracic surgery versus thoracotomy. Ann Thorac Surg 2000;70: Nomori H, Ohtsuka T, Horio H, et al. Difference in the impairment of vital capacity and 6-minute walking after a lobectomy performed by thoracoscopic surgery, an anterior limited thoracotomy, an antero-axillary thoracotomy, and a posterolateral thoracotomy. Surg Today 2003;33: Yim AP, Wan S, Lee TW, et al. VATS lobectomy reduces cytokine responses compared with conventional surgery. Ann Thorac Surg 2000;70: Li WW, Lee RL, Lee TW, et al. The impact of thoracic surgical access on early shoulder function video-assisted thoracic surgery versus posterolateral thoracotomy. Eur J Cardiothorac Surg 2003;23: McKenna RJ Jr, Wolf RK, Brenner M, et al. Is VATS lobectomy an adequate cancer operation? Ann Thorac Surg 1998;66: Leschber G, Holinka G, Linder A. Video-assisted mediastinoscopic lymphadenectomy (VAMLA) a method for systematic mediastinal lymph node dissection. Eur J Cardiothorac Surg 2003;24: Yim AP, Landreneau RJ, Izzat MB, et al. Is video-assisted thoracoscopic lobectomy a unified approach? Ann Thorac Surg 1998;66: Daniels LJ, Balderson SS, Onaitis MW, et al. Thoracoscopic lobectomy a safe and effective strategy for patients with stage I lung cancer. Ann Thorac Surg 2002;74: McKenna RJ Jr, Houck W, Fuller CB. Video-assisted Thoracic Surgery Lobectomy: Experience with 1,100 cases. Ann Thorac Surg 2006;81:421-5; discussion Whitson BA, D'Cunha J, Andre RS, et al. Thoracoscopic versus thoracotomy approaches to lobectomy: differential impairment of cellular immunity. Ann Thorac Surg 2008;86: Melfi FM, Menconi GF, Mariani AM, et al. Early experience withrobotic technology for thoracoscopic surgery. Eur J Cardiothorac Surg 2002;21: Giulianotti PC, Coratti A, Angelini M, et al. Robotics in general surgery: personal experience in a large community hospital. Arch Surg 2003;138: Park BJ, Flores RM, Rusch VW. Robotic assistance for video-assisted thoracic surgical lobectomy: technique and initial results. J Thorac Cardiovasc Surg 2006;131: Giulianotti PC, Buchs NC, Caravaglios G, et al. Robotassisted lung resection: outcomes and technical details. Interact Cardiovasc Thorac Surg 2010;11: Melfi FM, Mussi A. Robotically assisted lobectomy: learning curve and complications. Thorac Surg Clin 2008;18:289-95, vi-vii. 19. Paul S, Jalbert J, Isaacs AJ, et al. Comparative effectiveness of robotic-assisted vs thoracoscopic lobectomy. Chest 2014:146: Veronesi G, Galetta D, Maisonneuve P, et al. Four-arm robotic lobectomy for the treatment of early-stage lung cancer. J Thorac Cardiovasc Surg 2010;140: Casiraghi M, Galetta D, Borri A, et al. Ten years experience in robotic thoracic surgery for early stage lung cancer. Thorac Cardiovasc Surg (In press). 22. Galetta D, Casiraghi M, Pardolesi A, et al. New stapling devices in robotic surgery. J Vis Surg 2017;3: Gharagozloo F, Margolis M, Tempesta B. Robot-assisted thoracoscopic lobectomy for early-stage lung cancer. Ann Thorac Surg 2008;85:1880-5; discussion Gharagozloo F, Margolis M, Tempesta B, et al. Robotassisted lobectomy for early-stage lung cancer: report of 100 cases. Ann Thorac Surg 2009;88: Ninan M, Dylewski MR. Total port-access robot-assisted pulmonary lobectomy without utility thoracotomy. Eur J Cardiothorac Surg 2010;38: Dylewski MR, Ohaeto AC, Pereira JF. Pulmonary resection using a total endoscopic robotic video-assisted approach. Semin Thorac Cardiovasc Surg 2011;23: Cerfolio RJ, Bryant AS, Skylizard L, et al. Initial consecutive experience of completely portal robotic pulmonary resection with 4 arms. J Thorac Cardiovasc Surg 2011;142: Park BJ, Melfi F, Mussi A, et al. Robotic lobectomy for
7 Shanghai Chest, 2018 Page 7 of 7 non-small cell lung cancer (NSCLC): long-term oncologic results. J Thorac Cardiovasc Surg 2012;143: Toosi K, Velez-Cubian FO, Glover J, et al. Upstaging and survival after robotic-assisted thoracoscopic lobectomy for non-small cell lung cancer. Surgery 2016;160: Nasir BS, Bryant AS, Minnich DJ, et al. Performing Robotic Lobectomy and Segmentectomy: Cost, Profitability, and Outcomes. Ann Thorac Surg 2014;98:203-8; discussion Cerfolio RJ, Ghanim AF, Dylewski M, et al. The longterm survival of robotic lobectomy for non-small cell lung cancer: A multi-institutional study. J Thorac Cardiovasc Surg 2018;155: Lee BE, Korst RJ, Kletsman E, et al. Transitioning from video-assisted thoracic surgical lobectomy to robotics for lung cancer: are there outcomes advantages? J Thorac Cardiovasc Surg 2014;147: Merritt RE, Hoang CD, Shrager JB. Lymph node evaluation achieved by open lobectomy compared with thoracoscopic lobectomy for N0 lung cancer. Ann Thorac Surg 2013;96: Licht PB, Jørgensen OD, Ladegaard L, et al. A national study of nodal upstaging after thoracoscopic versus open lobectomy for clinical stage I lung cancer. Ann Thorac Surg 2013;96:943-9; discussion Osarogiagbon RU, Allen JW, Farooq A, et al. Objective review of mediastinal lymph node examination in a lung cancer resection cohort. J Thorac Oncol 2012;7: doi: /shc Cite this article as: Casiraghi M, Galetta D, Spaggiari L. Robotic assisted lobectomy and lymphadenectomy different approaches..
ROBOT SURGEY AND MINIMALLY INVASIVE TREATMENT FOR LUNG CANCER
ROBOT SURGEY AND MINIMALLY INVASIVE TREATMENT FOR LUNG CANCER Giulia Veronesi European Institute of Oncology Milan Lucerne, Samo 24 th - 25 th January, 2014 DIAGNOSTIC REVOLUTION FOR LUNG CANCER - Imaging
More informationRobotic lobectomies: when and why?
Review Article on Thoracic Surgery Robotic lobectomies: when and why? Sara Ricciardi 1, Giuseppe Cardillo 2, Carmelina Cristina Zirafa 1, Federico Davini 1, Franca Melfi 3 1 Division of Thoracic Surgery,
More informationRobotic lobectomy: revolution or evolution?
Editorial Robotic lobectomy: revolution or evolution? Jules Lin Section of Thoracic Surgery, Department of Surgery, University of Michigan Medical Center, Ann Arbor, Michigan, USA Correspondence to: Jules
More informationFour arms robotic-assisted pulmonary resection left lower lobectomy: how to do it
Surgical Technique Four arms robotic-assisted pulmonary resection left lower lobectomy: how to do it Alessandro Pardolesi 1, Luca Bertolaccini 2, Jury Brandolini 1, Piergiorgio Solli 1,2 1 Department of
More informationFacing Surgery for Lung Cancer? Learn about minimally invasive da Vinci Surgery
Facing Surgery for Lung Cancer? Learn about minimally invasive da Vinci Surgery Treatments & Surgery Options: The treatment and surgical options for the most common lung cancer, non-small cell lung cancer,
More informationFive on a dice port placement for robot-assisted thoracoscopic right upper lobectomy using robotic stapler
Surgical Technique Five on a dice port placement for robot-assisted thoracoscopic right upper lobectomy using robotic stapler Min P. Kim, Edward Y. han ivision of Thoracic Surgery, epartment of Surgery,
More informationJia Huang #, Jiantao Li #, Hanyue Li, Hao Lin, Peiji Lu, Qingquan Luo. Original Article
Original Article Continuous 389 cases of Da Vinci robot-assisted thoracoscopic lobectomy in treatment of non-small cell lung cancer: experience in Shanghai Chest Hospital Jia Huang #, Jiantao Li #, Hanyue
More informationThree-arm robot-assisted thoracoscopic surgery for locally advanced N2 non-small cell lung cancer
Surgical Technique Three-arm robot-assisted thoracoscopic surgery for locally advanced N2 non-small cell lung cancer Xinghua Cheng, Chongwu Li, Jia Huang, Peiji Lu, Qingquan Luo Shanghai Chest Hospital,
More informationAshleigh Clark 1, Jessica Ozdirik 2, Christopher Cao 1,2. Introduction
Review Article Page 1 of 5 Thoracotomy, video-assisted thoracoscopic surgery and robotic video-assisted thoracoscopic surgery: does literature provide an argument for any approach? Ashleigh Clark 1, Jessica
More informationVideo-assisted thoracoscopic (VATS) lobectomy has
Robot-Assisted Lobectomy for Early-Stage Lung Cancer: Report of 100 Consecutive Cases Farid Gharagozloo, MD, Marc Margolis, MD, Barbara Tempesta, MS, CRNP, Eric Strother, LSA, and Farzad Najam, MD Washington
More informationRobotic-assisted pulmonary resection - Right upper lobectomy
Art of Operative Techniques Robotic-assisted pulmonary resection - Right upper lobectomy Robert J. Cerfolio, Ayesha S. Bryant JH Estes Family Endowed Chair for Lung Cancer Research, Division of Cardiothoracic
More informationClinical Commissioning Policy Proposition: Robotic assisted lung resection for primary lung cancer
Clinical Commissioning Policy Proposition: Robotic assisted lung resection for primary lung cancer Reference: NHS England B10X03/01 Information Reader Box (IRB) to be inserted on inside front cover for
More informationFeasibility of four-arm robotic lobectomy as solo surgery in patients with clinical stage I lung cancer
Original Article Feasibility of four-arm robotic lobectomy as solo surgery in patients with clinical stage I lung cancer Seong Yong Park, Jee Won Suh, Kyoung Sik Narm, Chang Young Lee, Jin Gu Lee, Hyo
More informationRobotic assisted VATS lobectomy for loco-regionally advanced non-small cell lung cancer
Surgical Technique Page 1 of 5 Robotic assisted VATS lobectomy for loco-regionally advanced non-small cell lung cancer Simon R. Turner, M. Jawad Latif, Bernard J. Park Thoracic Surgery Service, Memorial
More informationRobot-assisted surgery in complex treatment of the pulmonary tuberculosis
Review Article on Robotic Surgery Robot-assisted surgery in complex treatment of the pulmonary tuberculosis Piotr Yablonskii 1,2, Grigorii Kudriashov 1, Igor Vasilev 1, Armen Avetisyan 1, Olga Sokolova
More informationShiyou Wei 1,3, Minghao Chen 2, Nan Chen 1,3 and Lunxu Liu 1,3*
Wei et al. World Journal of Surgical Oncology (2017) 15:98 DOI 10.1186/s12957-017-1168-6 REVIEW Open Access Feasibility and safety of robot-assisted thoracic surgery for lung lobectomy in patients with
More informationLong-term respiratory function recovery in patients with stage I lung cancer receiving video-assisted thoracic surgery versus thoracotomy
Original Article Long-term respiratory function recovery in patients with stage I lung cancer receiving video-assisted thoracic surgery versus thoracotomy Tae Yun Park 1,2, Young Sik Park 2 1 Division
More informationComplex Thoracoscopic Resections for Locally Advanced Lung Cancer
Complex Thoracoscopic Resections for Locally Advanced Lung Cancer Duke Thoracoscopic Lobectomy Workshop March 21, 2018 Thomas A. D Amico MD Gary Hock Professor of Surgery Section Chief, Thoracic Surgery,
More informationT3 NSCLC: Chest Wall, Diaphragm, Mediastinum
for T3 NSCLC: Chest Wall, Diaphragm, Mediastinum AATS Postgraduate Course April 29, 2012 Thomas A. D Amico MD Professor of Surgery, Chief of Thoracic Surgery Duke University Health System Disclosure No
More informationParenchyma-sparing lung resections are a potential therapeutic
Lung Segmentectomy for Patients with Peripheral T1 Lesions Bryan A. Whitson, MD, Rafael S. Andrade, MD, and Michael A. Maddaus, MD Parenchyma-sparing lung resections are a potential therapeutic option
More informationRobotic-assisted pulmonary segmentectomies
Review Article on Thoracic Surgery Page 1 of 10 Robotic-assisted pulmonary segmentectomies Pierluigi Novellis 1, Edoardo Bottoni 1, Marco Alloisio 1,2, Frank O. Velez-Cubian 3, Eric M. Toloza 3,4,5, Giulia
More informationFour-arm robotic lobectomy for the treatment of early-stage lung cancer
GENERAL THORACIC SURGERY Four-arm robotic lobectomy for the treatment of early-stage lung cancer Giulia Veronesi, MD, a Domenico Galetta, MD, a Patrick Maisonneuve, DipEng, b Franca Melfi, MD, c Ralph
More informationRuijin robotic thoracic surgery: S segmentectomy of the left upper lobe
Case Report Page 1 of 5 Ruijin robotic thoracic surgery: S 1+2+3 segmentectomy of the left upper lobe Han Wu, Su Yang, Wei Guo, Runsen Jin, Yajie Zhang, Xingshi Chen, Hailei Du, Dingpei Han, Kai Chen,
More informationRobotic-assisted right upper lobectomy
Robotic Thoracic Surgery Column Robotic-assisted right upper lobectomy Shiguang Xu, Tong Wang, Wei Xu, Xingchi Liu, Bo Li, Shumin Wang Department of Thoracic Surgery, Northern Hospital, Shenyang 110015,
More informationTechniques and difficulties dealing with hilar and interlobar benign lymphadenopathy in uniportal VATS
Original Article on Thoracic Surgery Techniques and difficulties dealing with hilar and interlobar benign lymphadenopathy in uniportal VATS William Guido Guerrero 1, Diego Gonzalez-Rivas 1,2, Luis Angel
More informationVideo-Assisted Thoracic Surgery (VATS) Lobectomy: the Evidence Base
SCIENTIFIC PAPER Video-Assisted Thoracic Surgery (VATS) Lobectomy: the Evidence Base Naveed Alam, MD, Raja M. Flores, MD ABSTRACT Background: Video-assisted thoracic surgery (VATS) lobectomy provides a
More informationThoracoscopic Lobectomy: Technical Aspects in Years of Progress
Thoracoscopic Lobectomy: Technical Aspects in 2015 16 Years of Progress 8 th Masters of Minimally Invasive Thoracic Surgery Orlando September 25, 2015 Thomas A. D Amico MD Gary Hock Professor of Surgery
More informationRobotic assisted lobectomy for locally advanced lung cancer
Review Article on Thoracic Surgery Robotic assisted lobectomy for locally advanced lung cancer Giulia Veronesi 1, Pierluigi Novellis 1, Orazio Difrancesco 2, Mark Dylewski 3 1 Division of Thoracic Surgery,
More informationTechniques for lung surgery: a review of robotic lobectomy
Expert Review of Respiratory Medicine ISSN: 1747-6348 (Print) 1747-6356 (Online) Journal homepage: http://www.tandfonline.com/loi/ierx20 Techniques for lung surgery: a review of robotic lobectomy Sophia
More informationRobotic subxiphoid thymectomy
Review Article on Subxiphoid Surgery Robotic subxiphoid thymectomy Takashi Suda Correspondence to: Takashi Suda, MD.. Email: suda@fujita-hu.ac.jp. Abstract: When endoscopic surgery is indicated for myasthenia
More informationLung cancer Surgery. 17 TH ESO-ESMO MASTERCLASS IN CLINICAL ONCOLOGY March, 2017 Berlin, Germany
17 TH ESO-ESMO MASTERCLASS IN CLINICAL ONCOLOGY 24-29 March, 2017 Berlin, Germany Lung cancer Surgery Sven Hillinger MD, Thoracic Surgery, University Hospital Zurich Case 1 59 y, female, 40 py, incidental
More informationMastering Thoracoscopic Upper Lobectomy
Mastering Thoracoscopic Upper Lobectomy Duke Thoracoscopic Lobectomy Workshop March 21, 2018 Thomas A. D Amico MD Gary Hock Professor of Surgery Section Chief, Thoracic Surgery, Duke University Medical
More informationAppropriate set-up of the da Vinci Surgical System in relation to the location of anterior and middle mediastinal tumors
doi:10.1510/icvts.2010.251652 Interactive CardioVascular and Thoracic Surgery 12 (2011) 112 116 www.icvts.org Work in progress report - Thoracic non-oncologic Appropriate set-up of the da Vinci Surgical
More informationRobotic-assisted thoracoscopic sleeve lobectomy for locally advanced lung cancer
Original Article Robotic-assisted thoracoscopic sleeve lobectomy for locally advanced lung cancer Mong-Wei Lin, Shuenn-Wen Kuo, Shun-Mao Yang, Jang-Ming Lee Department of Surgery, National Taiwan University
More informationRobot assisted thoracic surgery: a review of current literature.
Review http://www.alliedacademies.org/annals-of-cardiovascular-and-thoracic-surgery/ Robot assisted thoracic surgery: a review of current literature. Charles D Ghee, Wickii T Vigneswaran * Department of
More informationVATS Lobectomy Tecnica triportale
VATS Lobectomy Tecnica triportale Prof. Giuseppe Marulli UOC Chirurgia Toracica Policlinico Universitario di Padova VATS LOBECTOMY: FIRST EXPERIENCES CLINICAL MAIN CONCERNS Morbidity/mortality rates comparable
More informationSURGICAL TECHNIQUE. Radical treatment for left upper-lobe cancer via complete VATS. Jun Liu, Fei Cui, Shu-Ben Li. Introduction
SURGICAL TECHNIQUE Radical treatment for left upper-lobe cancer via complete VATS Jun Liu, Fei Cui, Shu-Ben Li The First Affiliated Hospital of Guangzhou Medical College, Guangzhou, China ABSTRACT KEYWORDS
More informationTraining program in robotic thoracic surgery
Viewpoint on Thoracic Surgery Page 1 of 6 Training program in robotic thoracic surgery Flavio Brito Filho 1, Luis Herrera 2, Marcelo DaSilva 1 1 Thoracic Surgery, Brigham and Women s Hospital, Harvard
More informationSurgery has been proven to be beneficial for selected patients
Thoracoscopic Lung Volume Reduction Surgery Robert J. McKenna, Jr, MD Surgery has been proven to be beneficial for selected patients with severe emphysema. Compared with medical management, lung volume
More informationRobotic-assisted right inferior lobectomy
Robotic Thoracic Surgery Column Page 1 of 6 Robotic-assisted right inferior lobectomy Shiguang Xu, Tong Wang, Wei Xu, Xingchi Liu, Bo Li, Shumin Wang Department of Thoracic Surgery, Northern Hospital,
More informationTips and tricks to decrease the duration of operation in robotic surgery for lung cancer
Review Article on Robotic Surgery Tips and tricks to decrease the duration of operation in robotic surgery for lung cancer Omar I. Ramadan, Robert J. Cerfolio, Benjamin Wei Division of Cardiothoracic Surgery,
More informationMicrolobectomy where do we stand?
Perspective Page 1 of 5 Microlobectomy where do we stand? Shruti Jayakumar 1, Marco Nardini 2, Marcello Migliore 2, Ian Paul 1, Joel Dunning 1 1 Department of Thoracic Surgery, James Cook University Hospital,
More informationAris Koryllos, Erich Stoelben. Background
Surgical Technique on Thoracic Surgery Uniportal video-assisted thoracoscopic surgery (VATS) sleeve resections for non-small cell lung cancer patients: an observational prospective study and technique
More informationThoracoscopic Lobectomy for Locally Advanced Lung Cancer. Masters of Minimally Invasive Thoracic Surgery Orlando September 19, 2014
for Locally Advanced Lung Cancer Masters of Minimally Invasive Thoracic Surgery Orlando September 19, 2014 Thomas A. D Amico MD Gary Hock Endowed Professor and Vice Chair of Surgery Chief Thoracic Surgery
More informationRobotic-assisted McKeown esophagectomy
Case Report Page 1 of 8 Robotic-assisted McKeown esophagectomy Dingpei Han, Su Yang, Wei Guo, Runsen Jin, Yajie Zhang, Xingshi Chen, Han Wu, Hailei Du, Kai Chen, Jie Xiang, Hecheng Li Department of Thoracic
More informationMinimally Invasive Esophagectomy
Minimally Invasive Esophagectomy M A R K B E R R Y, M D A S S O C I AT E P R O F E S S O R D E PA R T M E N T OF C A R D I O T H O R A C I C S U R G E R Y S TA N F O R D U N I V E R S I T Y S E P T E M
More informationSubxiphoid robotic thymectomy procedure: tips and pitfalls
Review Article Page 1 of 5 Subxiphoid robotic thymectomy procedure: tips and pitfalls Takashi Suda Department of Thoracic Surgery, Fujita Health University School of Medicine, Aichi, Japan Correspondence
More informationTreatment of Clinical Stage I Lung Cancer: Thoracoscopic Lobectomy is the Standard
Treatment of Clinical Stage I Lung Cancer: Thoracoscopic Lobectomy is the Standard AATS General Thoracic Surgery Symposium May 5, 2010 Thomas A. D Amico MD Professor of Surgery, Duke University Medical
More informationMEDIASTINAL STAGING surgical pro
MEDIASTINAL STAGING surgical pro Paul E. Van Schil, MD, PhD Department of Thoracic and Vascular Surgery University of Antwerp, Belgium Mediastinal staging Invasive techniques lymph node mapping cervical
More informationVideo-Mediastinoscopy Thoracoscopy (VATS)
Surgical techniques Video-Mediastinoscopy Thoracoscopy (VATS) Gunda Leschber Department of Thoracic Surgery ELK Berlin Chest Hospital, Berlin, Germany Teaching Hospital of Charité Universitätsmedizin Berlin
More informationSubxiphoid robotic thymectomy for myasthenia gravis
Surgical Technique on Mediastinal Surgery Page 1 of 5 Subxiphoid robotic thymectomy for myasthenia gravis Takashi Suda Department of Thoracic Surgery, Fujita Health University School of Medicine, Toyoake,
More informationUniportal Video-Assisted Thoracoscopic Lobectomy: Two Years of Experience
Uniportal Video-Assisted Thoracoscopic Lobectomy: Two Years of Experience Diego Gonzalez-Rivas, MD, Marina Paradela, MD, Ricardo Fernandez, MD, Maria Delgado, MD, Eva Fieira, MD, Lucía Mendez, MD, Carlos
More informationBronchial sleeve anastomosis and primary closures with the da Vinci system: an advanced minimally invasive technique
Original Article Page 1 of 7 Bronchial sleeve anastomosis and primary closures with the da Vinci system: an advanced minimally invasive technique Tugba Cosgun 1, Erkan Kaba 1, Kemal Ayalp 2, Mazen Rasmi
More informationTotally thoracoscopic left upper lobe tri-segmentectomy
Masters of Cardiothoracic Surgery Totally thoracoscopic left upper lobe tri-segmentectomy Dominique Gossot Thoracic Department, Institut Mutualiste Montsouris, Paris, France Correspondence to: Dominique
More informationVAMLA/TEMLA. Todd L. Demmy
VAMLA/TEMLA Todd L. Demmy Disclosures/ Questions Objectives - Staging Learn new lymphadenectomy (LA) results: Video-Assisted Mediastinal (VAMLA) Transcervical Extended Mediastinal (TEMLA) Compare with
More informationRobotic-assisted left inferior lobectomy
Robotic Thoracic Surgery Column Robotic-assisted left inferior lobectomy Shiguang Xu, Hao Meng, Tong Wang, Wei Xu, Xingchi Liu, Shumin Wang Department of Thoracic Surgery, Northern Hospital, Shenyang 110015,
More informationRobotic lobectomy for non small cell lung cancer (NSCLC): Long-term oncologic results
GENERAL THORACIC SURGERY Robotic lobectomy for non small cell lung cancer (NSCLC): Long-term oncologic results Bernard J. Park, MD, a Franca Melfi, MD, b Alfredo Mussi, MD, b Patrick Maisonneuve, DipEng,
More informationHybrid robotic thoracic surgery for excision of large mediastinal masses
Review Article on Thoracic Surgery Page 1 of 5 Hybrid robotic thoracic surgery for excision of large mediastinal masses Dario Amore, Marcellino Cicalese, Roberto Scaramuzzi, Davide Di Natale, Dino Casazza,
More informationHISTORY SURGERY FOR TUMORS WITH INVASION OF THE APEX 15/11/2018
30 EACTS Annual Meeting Barcelona, Spain 1-5 October 2016 SURGERY FOR TUMORS WITH INVASION OF THE APEX lung cancer of the apex of the chest involving any structure of the apical chest wall irrespective
More informationReasons for conversion during VATS lobectomy: what happens with increased experience
Review Article on Thoracic Surgery Page 1 of 5 Reasons for conversion during VATS lobectomy: what happens with increased experience Dario Amore, Davide Di Natale, Roberto Scaramuzzi, Carlo Curcio Division
More informationRobotic pulmonary lobectomy for lung cancer treatment: program implementation and initial experience
J Bras Pneumol. 2016;42(3):185-190 http://dx.doi.org/10.1590/s1806-37562015000000212 ORIGINAL ARTICLE Robotic pulmonary lobectomy for lung cancer treatment: program implementation and initial experience
More informationReview Article VATS Lobectomy: Surgical Evolution from Conventional VATS to Uniportal Approach
The Scientific World Journal Volume 2012, Article ID 780842, 5 pages doi:10.1100/2012/780842 The cientificworldjournal Review Article VATS Lobectomy: Surgical Evolution from Conventional VATS to Uniportal
More informationRobotic thoracic surgery: S 1+2 segmentectomy of left upper lobe
Case Report Page 1 of 5 Robotic thoracic surgery: S 1+2 segmentectomy of left upper lobe Hailei Du, Su Yang, Wei Guo, Runsen Jin, Yajie Zhang, Xingshi Chen, Han Wu, Dingpei Han, Kai Chen, Jie Xiang, Hecheng
More informationSurgery for early stage NSCLC
1-3 March 2017, Manchester, UK Surgery for early stage NSCLC Dominique H. Grunenwald, MD, PhD Professor Emeritus in Thoracic and Cardiovascular surgery Pierre & Marie Curie University. Paris. France what
More informationVideo assisted mediastinal lymphadenectomy (VAMLA)
Video assisted mediastinal lymphadenectomy (VAMLA) Gunda Leschber Department of Thoracic Surgery ELK Berlin Chest Hospital, Berlin, Germany Teaching Hospital of Charité Universitätsmedizin Berlin No conflict
More informationTranscervical uniportal pulmonary lobectomy
Original Article on Thoracic Surgery Page 1 of 6 Transcervical uniportal pulmonary lobectomy Marcin Zieliński 1, Tomasz Nabialek 2, Juliusz 3 1 Department of Thoracic Surgery, 2 Department of Anaesthesiology
More informationSurgical simulation in robotic-assisted thoracic surgery: training
Mini-Review Page 1 of 5 Surgical simulation in robotic-assisted thoracic surgery: training Tyler S. Wahl, Benjamin Wei Division of Cardiothoracic Surgery, University of Alabama at Birmingham, Birmingham,
More informationHistory of Surgery for Lung Cancer
Welcome to Master Class for Oncologists Session 1: 7:30 AM - 8:15 AM San Francisco, CA October 23, 2009 Innovations in The Surgical Treatment of Lung Cancer Speaker: Scott J. Swanson, MD 2 Presenter Disclosure
More informationLearning Curve of a Young Surgeon s Video-assisted Thoracic Surgery Lobectomy during His First Year Experience in Newly Established Institution
Korean J Thorac Cardiovasc Surg 2012;45:166-170 ISSN: 2233-601X (Print) ISSN: 2093-6516 (Online) Clinical Research http://dx.doi.org/10.5090/kjtcs.2012.45.3.166 Learning Curve of a Young Surgeon s Video-assisted
More informationRESEARCH ARTICLE. Video-assisted Thoracoscopic Surgery for Treatment of Earlystage Non-small Cell Lung Cancer
DOI:http://dx.doi.org/10.7314/APJCP.2013.14.5.2871 RESEARCH ARTICLE Video-assisted Thoracoscopic Surgery for Treatment of Earlystage Non-small Cell Lung Cancer Xing-Long Fan 1,2, Yu-Xia Liu 2, Hui Tian
More informationCharles Mulligan, MD, FACS, FCCP 26 March 2015
Charles Mulligan, MD, FACS, FCCP 26 March 2015 Review lung cancer statistics Review the risk factors Discuss presentation and staging Discuss treatment options and outcomes Discuss the status of screening
More informationVideo-assisted thoracic surgery tunnel technique: an alternative fissureless approach for anatomical lung resections
Surgical Technique Page 1 of 8 Video-assisted thoracic surgery tunnel technique: an alternative fissureless approach for anatomical lung resections Herbert Decaluwé Department of Thoracic Surgery, Leuven
More informationRight sided VATS thymectomy: current standards of extended thymectomy for myasthenia gravis
Review Article on Videothoracoscopic Surgery Page 1 of 5 Right sided VATS thymectomy: current standards of extended thymectomy for myasthenia gravis Erkan Kaba 1, Tugba Cosgun 1, Kemal Ayalp 2, Mazen Rasmi
More informationComplete Thoracoscopic Lobectomy: A new era at the G. Papanikolaou Hospital
Original Study Complete Thoracoscopic Lobectomy: A new era at the G. Papanikolaou Hospital Theodoros Karaiskos 1, Olga Ananiadou 1, Konstantinos Diplaris 1, Nikolaos Michael 1, Georgios Sarigiannis 2,
More informationFOR PUBLIC CONSULTATION ONLY. Evidence Review: Robotic assisted lung resection for primary lung cancer
Evidence Review: Robotic assisted lung resection for primary lung cancer NHS England Evidence Review: Robotic assisted lung resection for primary lung cancer First published: November 2015 Updated: Prepared
More informationLung Cancer. Current Therapy JEREMIAH MARTIN MBBCh FRCSI MSCRD
Lung Cancer Current Therapy JEREMIAH MARTIN MBBCh FRCSI MSCRD Objectives Describe risk factors, early detection & work-up of lung cancer. Define the role of modern treatment options, minimally invasive
More informationVATS after induction therapy: Effective and Beneficial Tips on Strategy
VATS after induction therapy: Effective and Beneficial Tips on Strategy AATS Focus on Thoracic Surgery Mastering Surgical Innovation Las Vegas Nevada Oct. 27-28 2017 Scott J. Swanson, M.D. Professor of
More informationTHORACIC SURGERY DIRECTORS ASSOCIATION BOOT CAMP JULY 25-28, 2013 SECTION: LUNG
THORACIC SURGERY DIRECTORS ASSOCIATION BOOT CAMP JULY 25-28, 2013 SECTION: LUNG Thoracic Faculty Richard Feins, MD (program director) University of North Carolina Jon Nesbitt, MD (course director) Vanderbilt
More informationVideo-assisted thoracoscopic surgery in lung cancer staging
Review Article on Thoracic Surgery Page 1 of 7 Video-assisted thoracoscopic surgery in lung cancer staging Frederico Krieger Martins, Guilherme Augusto Oliveira, Juliano Cé Coelho, Márcio Chmelnitsky Kruter,
More informationLA TIMECTOMIA ROBOTICA
LA TIMECTOMIA ROBOTICA Prof. Giuseppe Marulli UOC Chirurgia Toracica Università di Padova . The thymus presents a challenge to the surgeon not only as a structure that may be origin of benign and malignant
More informationThoracoscopic left upper lobectomy with systematic lymph nodes dissection under left pulmonary artery clamping
GCTAB Column Thoracoscopic left upper lobectomy with systematic lymph nodes dissection under left pulmonary artery clamping Yi-Nan Dong, Nan Sun, Yi Ren, Liang Zhang, Ji-Jia Li, Yong-Yu Liu Department
More informationFacing Mitral Valve Surgery? Learn about minimally invasive da Vinci Surgery
Facing Mitral Valve Surgery? Learn about minimally invasive da Vinci Surgery The Condition: Mitral Valve Prolapse Your mitral valve separates the upper and lower chambers of the left side of your heart.
More informationPneumonectomy After Induction Rx: Is it Safe?
Pneumonectomy After Induction Rx: Is it Safe? David J. Sugarbaker, M.D. Director, Chief, Division of Thoracic Surgery The Olga Keith Weiss Chair of Surgery of Medicine at, Pneumonectomy after induction
More informationThree-port single-intercostal versus multiple-intercostal thoracoscopic lobectomy for the treatment of lung cancer: a propensity-matched analysis
Wu et al. BMC Cancer (2019) 19:8 https://doi.org/10.1186/s12885-018-5256-y RESEARCH ARTICLE Open Access Three-port single-intercostal versus multiple-intercostal thoracoscopic lobectomy for the treatment
More informationVideo-assisted thoracic surgery right upper lobe bronchial sleeve resection
Original Article on Thoracic Surgery Video-assisted thoracic surgery right upper lobe bronchial sleeve resection Qianli Ma, Deruo Liu Department of Thoracic Surgery, China-Japan Friendship Hospital, Beijing
More informationUniportal video-assisted thoracic surgery for complicated pulmonary resections
Review Article on Thoracic Surgery Uniportal video-assisted thoracic surgery for complicated pulmonary resections Ding-Pei Han, Jie Xiang, Run-Sen Jin, Yan-Xia Hu, He-Cheng Li Jiaotong University School
More informationUniportal video-assisted thoracoscopic surgery segmentectomy
Case Report on Thoracic Surgery Page 1 of 5 Uniportal video-assisted thoracoscopic surgery segmentectomy John K. C. Tam 1,2 1 Division of Thoracic Surgery, National University Heart Centre, Singapore;
More informationVATS, robotic lobectomy and microlobectomy the future is just ahead?
Review Article Page 1 of 8 VATS, robotic lobectomy and microlobectomy the future is just ahead? Muhammad I. Mohamed Mydin, Mohamed M. El-Saegh, Marco Nardini, Joel Dunning Department of Cardiothoracic
More informationThree Dimensional Computed Tomography Lung Modeling is Useful in Simulation and Navigation of Lung Cancer Surgery
doi: 10.5761/atcs.ra.12.02174 Review Article Three Dimensional Computed Tomography Lung Modeling is Useful in Simulation and Navigation of Lung Cancer Surgery Norihiko Ikeda, MD, PhD, 1 Akinobu Yoshimura,
More informationVideo-assisted thoracic surgery pneumonectomy: the first case report in Poland
Case report Videosurgery Video-assisted thoracic surgery pneumonectomy: the first case report in Poland Cezary Piwkowski, Piotr Gabryel, Mariusz Kasprzyk, Wojciech Dyszkiewicz Thoracic Surgery Department,
More informationDesign variations in vertical muscle-sparing thoracotomy
Surgical Technique Design variations in vertical muscle-sparing thoracotomy Noriaki Sakakura, Tetsuya Mizuno, Takaaki Arimura, Hiroaki Kuroda, Yukinori Sakao Department of Thoracic Surgery, Aichi Cancer
More informationOBJECTIVES. Solitary Solid Spiculated Nodule. What would you do next? Case Based Discussion: State of the Art Management of Lung Nodules.
Organ Imaging : September 25 2015 OBJECTIVES Case Based Discussion: State of the Art Management of Lung Nodules Dr. Elsie T. Nguyen Dr. Kazuhiro Yasufuku 1. To review guidelines for follow up and management
More informationAccomplishes fundamental surgical tenets of R0 resection with systematic nodal staging for NSCLC Equivalent survival for Stage 1A disease
Segmentectomy Made Simple Matthew J. Schuchert and Rodney J. Landreneau Department of Cardiothoracic Surgery University of Pittsburgh Medical Center Financial Disclosures none Why Consider Anatomic Segmentectomy?
More informationOriginal Article. Keywords: Outcomes; atrial fibrillation; robotic; lobectomy; lung cancer
Original Article Surgical outcomes associated with postoperative atrial fibrillation after robotic-assisted pulmonary lobectomy: retrospective review of 208 consecutive cases Emily P. Ng 1, Frank O. Velez-Cubian
More informationThoracoscopic S 6 segmentectomy: tricks to know
Surgical Technique Page 1 of 6 Thoracoscopic S 6 segmentectomy: tricks to know Agathe Seguin-Givelet 1,2, Jon Lutz 1, Dominique Gossot 1 1 Thoracic Department, Institut Mutualiste Montsouris, Paris, France;
More informationThoracoscopic Lobectomy Is Associated With Superior Compliance With Adjuvant Chemotherapy in Lung Cancer
Thoracoscopic Lobectomy Is Associated With Superior Compliance With Adjuvant Chemotherapy in Lung Cancer Jin Gu Lee, MD, Byoung Chul Cho, MD, Mi Kyung Bae, MD, Chang Young Lee, MD, In Kyu Park, MD, Dae
More informationLong-Term Survival After Video-Assisted Thoracic Surgery Lobectomy for Primary Lung Cancer
Long-Term Survival After Video-Assisted Thoracic Surgery Lobectomy for Primary Lung Cancer Kazumichi Yamamoto, MD, Akihiro Ohsumi, MD, Fumitsugu Kojima, MD, Naoko Imanishi, MD, Katsunari Matsuoka, MD,
More informationSurgical atlas of thoracoscopic lobectomy and segmentectomy
Art of Operative Technique Surgical atlas of thoracoscopic lobectomy and segmentectomy Tristan D. Yan 1,2 1 The Collaborative Research (CORE) Group, Macquarie University, Sydney, Australia; 2 Department
More informationRADICAL CYSTECTOMY. Solutions for minimally invasive urologic surgery
RADICAL CYSTECTOMY Solutions for minimally invasive urologic surgery The da Vinci Surgical System High-definition 3D vision EndoWrist instrumentation Intuitive motion RADICAL CYSTECTOMY Maintains the oncologic
More informationInnovations in Lung Cancer Diagnosis and Surgical Treatment
Transcript Details This is a transcript of a continuing medical education (CME) activity accessible on the ReachMD network. Additional media formats for the activity and full activity details (including
More information